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General NPI Number Information
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NPI Number | 1023523099
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Entity Type | Organization
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Legal Business Name | TARIQ HILAL, DO INC.
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3771 KATELLA AVE STE 107
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3111
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Country | US
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Telephone | 714-534-2606
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Fax | 562-534-2604
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Provider Business Mailing Address
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Address Line | PO BOX 11769
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City | WESTMINSTER
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State | CA
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Zip | 92685-1769
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Country | US
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Telephone | 714-553-2606
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Fax | 562-534-2604
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | TARIQ IYAD HILAL
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Credential | DO
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Telephone | 562-534-2606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 12335
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License Number State | MN
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